| |
1523 N Vasco Rd Livermore CA 94551-9035 | |
(925) 373-4855 | |
(925) 373-2855 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1523 N Vasco Rd, Livermore, California |
Authorized Official Name and Position | Hetal Shah (OWNER DENTIST) |
Authorized Official Contact | 9253734855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1523 N Vasco Rd Livermore CA 94551-9035 Ph: (925) 373-4855 | 1523 N Vasco Rd Livermore CA 94551-9035 Ph: (925) 373-4855 |
NPI Number | 1356053680 |
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Provider Enumeration Date | 12/19/2022 |
Last Update Date | 05/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356053680 | NPI | - | NPPES |
103304 | Other | CA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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